本刊首页 > 期刊目次 > 心理干预结合认知疗法对子痫前期剖宫产产妇负面情绪及全身应激状态的影响

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心理干预结合认知疗法对子痫前期剖宫产产妇负面情绪及全身应激状态的影响

  • 曾莹

* 通信作者: 曾莹, 单位:湖北省恩施土家族苗族自治州中心医院手术室

摘要

【摘要】
目的:探讨心理干预结合认知疗法对子痫前期剖宫产产妇负面情绪及全身应激状态的影响。

方法:收集2013年1月-2016年2月间本院收治的子痫前期患者68例,回顾围术期干预措施并将入组患者分为接受常规干预的对照组31例、接受心理干预结合认知疗法干预的观察组37例。干预前后,采用广泛性焦虑量表(GAD-7)评估两组患者的焦虑情绪,采用汉密尔顿抑郁量表(HAMD)评估两组患者的抑郁情绪,采用放射免疫法检测血清应激激素含量。

结果:干预前,两组患者的焦虑、抑郁评分值,血清应激激素含量差异无统计学意义(P>0.05)。干预后,观察组GAD-7、HAMD评分值低于对照组,血清中应激激素Cor、NE、INS含量低于对照组(P<0.05)。

结论:心理干预结合认知疗法可缓解子痫前期剖宫产产妇负面情绪,降低全身应激状态。

关键词:子痫前期;心理干预;认知疗法;负面情绪;应激状态

ABSTRACT

【Abstract】
Objective: To study the influence of Psychological intervention combined with cognitive therapy in negative mood and stress State on preeclampsia patients underwent cesarean section.

Methods: 68 cases of preeclampsia patients underwent cesarean section in our hospital during January 2013 to February 2016 were chosen as research subject, intervention method was reviewed and all patients were divided into control group(n=31) underwent normal intervention, observation group(n=37) underwent Psychological intervention combined with cognitive therapy. Before and after intervention, anxiety was assessed by GAD-7, depression was assessed by HAMD, serum contents of stress hormones were measured by radioimmunoassay.

Results: Before intervention, there was no significant difference between two groups in scores of anxiety, depression and serum contents of stress hormones(P>0.05). After intervention, the scores of GAD-7 and HAMD in observation group were lower than those in control group, serum contents of Cor, NE and INS were lower than those in control group(P<0.05).

Conclusion  : Psychological interventions combined with cognitive therapy can alleviate the negative emotions in preeclampsia patients underwent cesarean section, reduce the systemic stress.

Key words: preeclampsia; Psychological intervention; Cognitive therapy; negative mood; Stress State

引用本文 / How to Cite This Article

曾莹.心理干预结合认知疗法对子痫前期剖宫产产妇负面情绪及全身应激状态的影响[J]. 国际精神病学杂志, , (): -

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